Organization
JR DREW & EP RACCIO, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD P RACCIO D.M.D. (PARTNER)
(860) 443-0861
Entity
Organization
Contact information
Practice address
256 BOSTON POST RD, WATERFORD, CT 06385-2050
(860) 443-0861
(860) 443-6065
Mailing address
256 BOSTON POST RD, WATERFORD, CT 06385-2050
(860) 443-0861
(860) 443-6065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
005492
CT
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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